HomeMy WebLinkAboutPermit Electrical 2002-5-2
1, 225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
The fOllowing project as sUbmltte"h~QMBA&k/l, FEE SCHEDULE BELOW
1. LOCATION OF INSf.l\,1({.A'I'leMS not require specillc land use
"'2-1 Z(" mfj/N""'Sv;J- ~ A. New Residential-Single or
LOOlng' '4lIIti-Family per dwelling unit.
LEGAL DESCRIPTIOlilale S -.;;z -0 "2- \ Service Included:
_/70336'fl. ,..__C,{?.f?..9 M
"
.
ELECTRlC.tERMIT APPLlCA TI~N
City Job Number 02 -() 0 Lrt r-C I
~.
~_.
Items Cost
Suin
JOB DESCRIPTION
AII-..A..+..:'" <,. +-., '1 e,..:.,.-I-:_ < c., rc.v..7f.
fo c.c.~ flt,-k ~....., .f, ,,-f.-r,~ II'o7'o--+-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$ 50.00
$106.00
$ 19.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
I'i J S .-:t ,\ . _ ~ Installation, Alterations or
Electrical Contractor! " 1 r-:.\eGM'1 J.Y L: , Relocation:
Address 'P.D. ~'i.. \Y:~2----
CitV~~t'lcl Phone 14-l-J-?.31o
Supervisor License Number ~q tfS:
Expiration Date I {) I \ I oLl-
Constr Contr, Number ~l?4Ol
Expiration Date q II \ 01--
Signature of Supervising Electrician
~
~w~
Owners Name 4-LO c-",J.r~c-L_
Address"Z if S- ~ c h 4.M "" cfL-s.
City &'"1.-\.&&Ye- Phone 52( --OIlY
OWNER INST ALLA TION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
mo: mIHSIJ::J
: 39NtlH8
~~'9~G $ G:a83~ lWU
GOOG GO AtlW:31Ua
~088000-10:#SNU~1
200 amps or less $ 63.00
201 amps to 400 amps $ 75.00
401 amps to 600 amps $ I 25.00
601 amps to 1000 amps $163.00
Over 1000 amps/volts $375.00
Reconnect Only .. $ 50.00
Al TE:N i IOI~:Oreg... ~"4U""'~,.. ..
C T. S "-"~"I"'l~"'O adopted oy the Oregon Utility
. emporary ervlces or ,'eeoers I re set forth
Installation Aitl:i'aii\m1Br'lJl.Ji'&llIil>h Those ru es a
, in OAR 952.001-0010 through OAR 952-001-
200 amps~o1aessYou may obtain copies s;b~ru'~~ by
201 t 40Hi-- 'he center, (NUl"'. ';I~$~~lnoll.~.:-
amps 0 vamps .... M"l .:ut.ef:
Over 401 to'600tamPs'lrthe OreguII u""s'lo&.llBC " ..
Over 600 amps or tooOWoItf,sci,'lf'f"..,...,.,..'J;>44), -
"8" above
D. Branch Circuits
"UTtce'tion or Extension r~~"kE WORK
OMl$;if~~MI~ ~~~i~ ~S PERtII\1~\A ~~1 If 3
AUlHORlZE ~~ONED f~
~'tJIilt~ with'Service i
or~~ . .. ..:2... $3.00 ~
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
52
36'(
'{Ib
tS7~
TOTAL